ByteWorthy Workflow Pack
Your MA is on hold right now. This pack gets them off the phone.
A $497 Blueprint for DFW dermatology practices. We deliver a decision tree, denial decoder, and training video for the prior authorization workflow your front desk runs every day. Ships in 14 days or full refund. You keep every artifact.
The problem
Three hours lost before lunch.
8am Monday
Your MA calls BCBS Texas for a biologics auth. They wait on hold for 22 minutes. The authorization takes another 30 minutes to walk through. That is one patient.
Wednesday afternoon
Denial lands. Wrong diagnosis code. Your biller digs through 60 pages of medical policy to figure out what to resubmit. The patient still has not started treatment.
End of month
Revenue report shows 14 denials that month. Eight were for missing prior auth. Three were for auth that expired. Every one of them could have been caught earlier.
What you get
Four deliverables. Fourteen days.
We build everything custom to your practice. Your payers, your codes, your workflow.
01
We map your top payers and codes
One 30 minute discovery call. We capture the top 5 payers your practice deals with and the top 10 CPT codes that hit your prior auth queue. Your words, not our assumptions.
02
We build a decision tree for your desk
A printable PDF your front desk MA can follow. Each payer, each code, each next action. No more Googling the policy portal mid call.
03
We decode your denial patterns
A spreadsheet of the 50 most common CARC and RARC codes your practice sees, translated into plain language. What went wrong and exactly what to do about it.
04
We record a training video for your team
A 30 minute walkthrough recorded and shipped back to you. New MA hired next year? They watch the video. No retraining from scratch.
How prior auth automation actually works
What happens from chart creation to approval tracking.
Most practices treat prior auth as a phone call. It is actually a data problem. The payer wants specific codes, specific diagnoses, and specific clinical justification in a specific order. When the MA does not have that checklist ready before dialing, the call takes three times as long.
The Blueprint solves the checklist problem. The Build tier solves the portal submission problem. We scope them separately so you can ship the quick win in 14 days and decide later if you want portal automation.
Chart triggers the auth
MA checks the CPT code against the payer matrix. If it requires auth, they pull the decision tree for that payer and code.
MA calls with the right info ready
Decision tree has the ICD-10 codes, the clinical criteria, and the contact number. No hold time spent looking up what they need.
Auth number gets logged
Approval with expiration date goes into the tracking spreadsheet. Expiration reminder fires before the date hits.
Denial triggers the decoder
CARC code from the EOB goes into the decoder. Plain English remediation steps come back. MA resubmits the same day instead of three days later.
EHR compatibility
We build for the EHR you already use.
The decision tree and denial decoder are built around how your specific EHR surfaces codes. We do not hand you a generic template.
Do not see yours? Book a call. We work with any EHR that exports structured encounter data.
HIPAA
Your patient data never crosses a third party network.
Every artifact we deliver stays in your building. The decision tree is a PDF. The denial decoder is a spreadsheet. The training video is hosted on your account. We sign a BAA before we start. Nothing about this workflow requires sending patient data to a cloud AI service.
Investment
One price. No retainer required.
$497 covers the full Blueprint. If you want portal automation after that, we scope the Build tier separately.
Prior Auth Blueprint
$497
one time, no retainer
- 30 minute discovery call recorded verbatim
- Practice specific decision tree (PDF) for your top 5 payers and top 10 CPT codes
- Denial decoder spreadsheet with 50 CARC and RARC codes in plain English
- 30 minute implementation training call recorded as a video
- BAA signed before we start
- 14 day delivery guarantee or full refund. You keep every artifact.
Portal Automation (Build tier)
$4,000+
scoped per practice after Blueprint
Bots that log into payer portals and submit structured prior auth requests for you. This is excluded from the $497 Blueprint on purpose: we need to see how your practice operates first, and portal automation carries anti-automation risk that we scope carefully.
- Automated portal submission for top payers
- Status tracking with your EHR
- Expiration alerts before auth lapses
- Scoped after the Blueprint runs
14 days or full refund. You keep everything.
Not work-free. Not partial credit. If we do not deliver in 14 days from the discovery call, you get a full refund and keep every artifact already delivered. We take that risk so you do not have to.
Not a fit?
Who this pack is not for.
The Prior Auth Blueprint is built for practices doing 8 to 50 prior authorizations a week. That is the chronic pain point where a decision tree and denial decoder cut 4 to 6 hours of staff time per week.
If you are above 50 prior auths a week, the right tool is platform-grade automation with direct EHR API integration. We refer those practices to Upstream Intelligence, which is purpose-built for high-volume payer workflows.